ZAGATINA, A., N. ZHURAVSKAYA, M. CAPRNDA, L. RODRIGO and Peter KRUŽLIAK. Dynamics of coronary artery velocity flow during exercise echocardiography. Acta Cardiologica. Leuven: Acta Cardiologica, 2022, vol. 77, No 5, p. 442-448. ISSN 0001-5385. Available from: https://dx.doi.org/10.1080/00015385.2021.1952001.
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Basic information
Original name Dynamics of coronary artery velocity flow during exercise echocardiography
Authors ZAGATINA, A., N. ZHURAVSKAYA, M. CAPRNDA, L. RODRIGO and Peter KRUŽLIAK (703 Slovakia, guarantor, belonging to the institution).
Edition Acta Cardiologica, Leuven, Acta Cardiologica, 2022, 0001-5385.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 1.600
RIV identification code RIV/00216224:14110/22:00125389
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1080/00015385.2021.1952001
UT WoS 000674818200001
Keywords in English Coronary flow reserve; coronary velocity; exercise echocardiography; transthoracic coronary artery echo; arterial hypertension
Tags 14110121, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 16/1/2023 11:58.
Abstract
Purpose The aim of our study was to acquire non-invasive data from coronary flow velocity profiles during exercise in groups of healthy subjects and of patients with arterial hypertension. Material and Methods We enrolled 83 patients into two groups: (1) 35 non-selected consecutive healthy subjects; (2) 25 consecutive patients with arterial hypertension. All the patients performed supine bicycle symptoms-limited tests. Throughout exercise the diastolic peaks of coronary flow velocity in LAD were recorded. Coronary flow velocity reserve (CFVR) was calculated off-line. Profiles of coronary artery velocity were acquired for all groups. The coronary artery flow parameters investigated were comparable in healthy and hypertensive patients at every stage. Results The average diastolic velocities were 54.8 +/- 12.9 vs. 51.8 +/- 12.2 cm/s, at 50 W; 69.2 +/- 17.1 vs 64.4 +/- 19.1 cm/s at 75 W; 70.7 +/- 16.4 vs. 76.1 +/- 19.0 cm/s at 100 W; 80.0 +/- 16.0 vs. 72.9 +/- 16.1 cm/s at 125 W; 83.7 +/- 12.2 vs. 81.4 +/- 17.0 at 150 W, p- non-significant, respectively. On average, the healthy group reached CFVR > 2.0 at a heart rate of 110-120 beats/min at 75 W. During supine bicycle exercise, healthy subjects and patients with arterial hypertension have a similar coronary artery flow velocity profile. Conclusion The routine exercise echocardiography test can feasibly be supplemented with the additional measurement of coronary flow velocity during routine supine exercise stress tests, as the normal range of CFVR is reached before submaximal heart rate.
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